Data / Rankings / Binge drinking in adults, local model estimate / Counties in Missouri

Counties in Missouri by binge drinking in adults, local model estimate

Nodaway County had the highest binge drinking in adults, local model estimate of 115 counties in 2021, at 18.8%. Benton County had the lowest, at 12.3%. The median was 15.1%. Source: the Centers for Disease Control and Prevention.

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Highest18.8Nodaway County
Lowest12.3Benton County
Median15.1115 counties

Map of counties, 2021

Adair County: 16.4 %Andrew County: 16.3 %Atchison County: 15 %Audrain County: 14.2 %Barry County: 14.5 %Barton County: 14.3 %Bates County: 15 %Benton County: 12.3 %Bollinger County: 14.6 %Boone County: 18.6 %Buchanan County: 16 %Butler County: 14.7 %Caldwell County: 14.9 %Callaway County: 16.7 %Camden County: 15 %Cape Girardeau County: 17 %Carroll County: 15.3 %Carter County: 14.7 %Cass County: 15.8 %Cedar County: 13.6 %Chariton County: 15.1 %Christian County: 16.1 %Clark County: 15.1 %Clay County: 18.7 %Clinton County: 16.9 %Cole County: 15.7 %Cooper County: 16.4 %Crawford County: 14.9 %Dade County: 13.9 %Dallas County: 14.5 %Daviess County: 15.5 %DeKalb County: 17.2 %Dent County: 14.1 %Douglas County: 14.2 %Dunklin County: 13.6 %Franklin County: 17.4 %Gasconade County: 16.1 %Gentry County: 15 %Greene County: 16.6 %Grundy County: 14.4 %Harrison County: 14.6 %Henry County: 15 %Hickory County: 12.7 %Holt County: 14.3 %Howard County: 16.7 %Howell County: 14.2 %Iron County: 13.9 %Jackson County: 18.4 %Jasper County: 15.3 %Jefferson County: 16.8 %Johnson County: 18.6 %Knox County: 13.8 %Laclede County: 14.8 %Lafayette County: 17.4 %Lawrence County: 15 %Lewis County: 16.7 %Lincoln County: 17.5 %Linn County: 14.7 %Livingston County: 15 %McDonald County: 15.1 %Macon County: 15.8 %Madison County: 15.3 %Maries County: 15.5 %Marion County: 16.5 %Mercer County: 14.6 %Miller County: 16 %Mississippi County: 13.9 %Moniteau County: 16.9 %Monroe County: 14.5 %Montgomery County: 15 %Morgan County: 14.1 %New Madrid County: 13.5 %Newton County: 15.2 %Nodaway County: 18.8 %Oregon County: 13.1 %Osage County: 17.1 %Ozark County: 12.6 %Pemiscot County: 13.4 %Perry County: 17.3 %Pettis County: 16.5 %Phelps County: 16.3 %Pike County: 16.3 %Platte County: 17.3 %Polk County: 16.1 %Pulaski County: 18.8 %Putnam County: 15.2 %Ralls County: 15.6 %Randolph County: 15.9 %Ray County: 15.7 %Reynolds County: 14.6 %Ripley County: 13.7 %St. Charles County: 18.1 %St. Clair County: 13.4 %Ste. Genevieve County: 17.1 %St. Francois County: 16.9 %St. Louis County: 17 %Saline County: 16 %Schuyler County: 16.3 %Scotland County: 15.1 %Scott County: 15.5 %Shannon County: 14.3 %Shelby County: 14.4 %Stoddard County: 14.4 %Stone County: 13.1 %Sullivan County: 14.4 %Taney County: 14.7 %Texas County: 14.6 %Vernon County: 14.8 %Warren County: 18.3 %Washington County: 15.5 %Wayne County: 13.3 %Webster County: 16 %Worth County: 14.6 %Wright County: 13.7 %St. Louis city: 18.1 %
  • Under 14
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  • 17 and over
%, 2021. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), binge drinking in adults, crude prevalence. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2021

Nodaway County: 18.8 %Nodaway County18.8Pulaski County: 18.8 %Pulaski County18.8Clay County: 18.7 %Clay County18.7Boone County: 18.6 %Boone County18.6Johnson County: 18.6 %Johnson County18.6Jackson County: 18.4 %Jackson County18.4Warren County: 18.3 %Warren County18.3St. Charles County: 18.1 %St. Charles County18.1St. Louis city: 18.1 %St. Louis city18.1Lincoln County: 17.5 %Lincoln County17.5Franklin County: 17.4 %Franklin County17.4Lafayette County: 17.4 %Lafayette County17.4Perry County: 17.3 %Perry County17.3Platte County: 17.3 %Platte County17.3DeKalb County: 17.2 %DeKalb County17.2Osage County: 17.1 %Osage County17.1Ste. Genevieve County: 17.1 %Ste. Genevieve County17.1Cape Girardeau County: 17 %Cape Girardeau County17St. Louis County: 17 %St. Louis County17Clinton County: 16.9 %Clinton County16.9Moniteau County: 16.9 %Moniteau County16.9St. Francois County: 16.9 %St. Francois County16.9Jefferson County: 16.8 %Jefferson County16.8Callaway County: 16.7 %Callaway County16.7Howard County: 16.7 %Howard County16.7Lewis County: 16.7 %Lewis County16.7Greene County: 16.6 %Greene County16.6Marion County: 16.5 %Marion County16.5Pettis County: 16.5 %Pettis County16.5Adair County: 16.4 %Adair County16.4Cooper County: 16.4 %Cooper County16.4Andrew County: 16.3 %Andrew County16.3Phelps County: 16.3 %Phelps County16.3Pike County: 16.3 %Pike County16.3Schuyler County: 16.3 %Schuyler County16.3Christian County: 16.1 %Christian County16.1Gasconade County: 16.1 %Gasconade County16.1Polk County: 16.1 %Polk County16.1Buchanan County: 16 %Buchanan County16Miller County: 16 %Miller County16Nodaway County: 18.8 %Nodaway County18.8Pulaski County: 18.8 %Pulaski County18.8Clay County: 18.7 %Clay County18.7Boone County: 18.6 %Boone County18.6Johnson County: 18.6 %Johnson County18.6Jackson County: 18.4 %Jackson County18.4Warren County: 18.3 %Warren County18.3St. Charles County: 18.1 %St. Charles County18.1St. Louis city: 18.1 %St. Louis city18.1Lincoln County: 17.5 %Lincoln County17.5Franklin County: 17.4 %Franklin County17.4Lafayette County: 17.4 %Lafayette County17.4Perry County: 17.3 %Perry County17.3Platte County: 17.3 %Platte County17.3DeKalb County: 17.2 %DeKalb County17.2Osage County: 17.1 %Osage County17.1Ste. Genevieve County: 17.1 %Ste. Genevieve County17.1Cape Girardeau County: 17 %Cape Girardeau County17St. Louis County: 17 %St. Louis County17Clinton County: 16.9 %Clinton County16.9Moniteau County: 16.9 %Moniteau County16.9St. Francois County: 16.9 %St. Francois County16.9Jefferson County: 16.8 %Jefferson County16.8Callaway County: 16.7 %Callaway County16.7Howard County: 16.7 %Howard County16.7Lewis County: 16.7 %Lewis County16.7Greene County: 16.6 %Greene County16.6Marion County: 16.5 %Marion County16.5Pettis County: 16.5 %Pettis County16.5Adair County: 16.4 %Adair County16.4Cooper County: 16.4 %Cooper County16.4Andrew County: 16.3 %Andrew County16.3Phelps County: 16.3 %Phelps County16.3Pike County: 16.3 %Pike County16.3Schuyler County: 16.3 %Schuyler County16.3Christian County: 16.1 %Christian County16.1Gasconade County: 16.1 %Gasconade County16.1Polk County: 16.1 %Polk County16.1Buchanan County: 16 %Buchanan County16Miller County: 16 %Miller County16
%. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), binge drinking in adults, crude prevalence. Retrieved 2026-10-12.

Full ranking

RankCounties2021 (%)
1Nodaway County18.8
1Pulaski County18.8
3Clay County18.7
4Boone County18.6
4Johnson County18.6
6Jackson County18.4
7Warren County18.3
8St. Charles County18.1
8St. Louis city18.1
10Lincoln County17.5
11Franklin County17.4
11Lafayette County17.4
13Perry County17.3
13Platte County17.3
15DeKalb County17.2
16Osage County17.1
16Ste. Genevieve County17.1
18Cape Girardeau County17
18St. Louis County17
20Clinton County16.9
20Moniteau County16.9
20St. Francois County16.9
23Jefferson County16.8
24Callaway County16.7
24Howard County16.7
24Lewis County16.7
27Greene County16.6
28Marion County16.5
28Pettis County16.5
30Adair County16.4
30Cooper County16.4
32Andrew County16.3
32Phelps County16.3
32Pike County16.3
32Schuyler County16.3
36Christian County16.1
36Gasconade County16.1
36Polk County16.1
39Buchanan County16
39Miller County16
39Saline County16
39Webster County16
43Randolph County15.9
44Cass County15.8
44Macon County15.8
46Cole County15.7
46Ray County15.7
48Ralls County15.6
49Daviess County15.5
49Maries County15.5
49Scott County15.5
49Washington County15.5
53Carroll County15.3
53Jasper County15.3
53Madison County15.3
56Newton County15.2
56Putnam County15.2
58Chariton County15.1
58Clark County15.1
58McDonald County15.1
58Scotland County15.1
62Atchison County15
62Bates County15
62Camden County15
62Gentry County15
62Henry County15
62Lawrence County15
62Livingston County15
62Montgomery County15
70Caldwell County14.9
70Crawford County14.9
72Laclede County14.8
72Vernon County14.8
74Butler County14.7
74Carter County14.7
74Linn County14.7
74Taney County14.7
78Bollinger County14.6
78Harrison County14.6
78Mercer County14.6
78Reynolds County14.6
78Texas County14.6
78Worth County14.6
84Barry County14.5
84Dallas County14.5
84Monroe County14.5
87Grundy County14.4
87Shelby County14.4
87Stoddard County14.4
87Sullivan County14.4
91Barton County14.3
91Holt County14.3
91Shannon County14.3
94Audrain County14.2
94Douglas County14.2
94Howell County14.2
97Dent County14.1
97Morgan County14.1
99Dade County13.9
99Iron County13.9
99Mississippi County13.9
102Knox County13.8
103Ripley County13.7
103Wright County13.7
105Cedar County13.6
105Dunklin County13.6
107New Madrid County13.5
108Pemiscot County13.4
108St. Clair County13.4
110Wayne County13.3
111Oregon County13.1
111Stone County13.1
113Hickory County12.7
114Ozark County12.6
115Benton County12.3

Other periods

About this ranking

Percentage of adults who had 5 or more drinks (men) or 4 or more drinks (women) on at least one occasion in the past 30 days. Model-based estimate for adults aged 18 and over from CDC PLACES. Crude prevalence, not age-adjusted.

US counties and cities (incorporated places of 10,000 or more). CDC PLACES combines Behavioral Risk Factor Surveillance System (BRFSS) answers with local population data through multilevel regression and poststratification, so a county or city value is a model estimate, not a survey count. The year is the BRFSS survey year, not the release year. CDC says the method does not support tracking change in a place over time, and each annual release can change the model, so values for different years are not strictly comparable. A state is missing in a year when its BRFSS data did not meet standards (Kentucky and Pennsylvania in 2023, Florida in 2021). Connecticut counties appear as its nine planning regions from 2022; its eight former counties are not served. City values for 2021 come from the 2023 release, built on 2010 Census place boundaries; later years use 2020 boundaries.

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.

How to cite

Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), binge drinking in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

Centers for Disease Control and Prevention. (2025). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), binge drinking in adults, crude prevalence (Counties in Missouri by binge drinking in adults, local model estimate, 2021) [Data set]. Retrieved October 12, 2026, from https://www.cdc.gov/places/

MLA 9

PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), binge drinking in adults, crude prevalence, Counties in Missouri by binge drinking in adults, local model estimate, 2021. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-binge-drinking-rate-county-estimate/missouri-counties?period=2021. Accessed 12 Oct. 2026.

Chicago (author-date)

Centers for Disease Control and Prevention. 2025. PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), binge drinking in adults, crude prevalence. Counties in Missouri by binge drinking in adults, local model estimate, 2021. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-binge-drinking-rate-county-estimate/missouri-counties?period=2021.

Harvard

Centers for Disease Control and Prevention (2025) PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), binge drinking in adults, crude prevalence, Counties in Missouri by binge drinking in adults, local model estimate, 2021 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-binge-drinking-rate-county-estimate/missouri-counties?period=2021 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_missouri_by_2021,
  author = {{Centers for Disease Control and Prevention}},
  title = {{PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), binge drinking in adults, crude prevalence: Counties in Missouri by binge drinking in adults, local model estimate, 2021}},
  year = {2025},
  howpublished = {Data set},
  url = {https://www.cdc.gov/places/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/adult-binge-drinking-rate-county-estimate/missouri-counties?period=2021. Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), binge drinking in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.},
}
RIS
TY  - DATA
AU  - Centers for Disease Control and Prevention
TI  - PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), binge drinking in adults, crude prevalence: Counties in Missouri by binge drinking in adults, local model estimate, 2021
PY  - 2025
DA  - 2025/12/04
PB  - Centers for Disease Control and Prevention
DB  - Invokely
UR  - https://www.cdc.gov/places/
L2  - https://invokely.ai/rankings/adult-binge-drinking-rate-county-estimate/missouri-counties?period=2021
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-binge-drinking-rate-county-estimate/missouri-counties?period=2021.
N1  - Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), binge drinking in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.
ER  -
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Rank Counties in Missouri by binge drinking in adults, local model estimate using official data, and cite the source.
rank_places {"indicator":"adult_binge_drinking_rate_modelled","level":"province","within":"Missouri","limit":10}
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Questions

Which county has the highest binge drinking in adults, local model estimate?

Nodaway County, with 18.8% in 2021, according to the Centers for Disease Control and Prevention.

Which county has the lowest binge drinking in adults, local model estimate?

Benton County, with 12.3% in 2021.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: Centers for Disease Control and Prevention, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), binge drinking in adults, crude prevalence. Retrieved 2026-10-12.

Binge drinking in adults, local model estimate: other rankings

Counties in Missouri: more rankings